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On the day of surgery, all patients were instructed to remove any gum from their mouths immediately prior to departure for the operating room, and complete questionnaire about the degree of discomfort associated with fasting and anxiety in the preoperative holding area with the help of attending residents or nurses in anesthesia team who were not aware of group allocation

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[2] Some also report a warm sensation in the body, enhanced focus, and increased heart rate, similar to the effects of nicotine

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